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CHRISTIE CLINIC LLC NPI 1447840103


NPI Information

NPI: 1447840103
Provider Name: CHRISTIE CLINIC, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 14D2142716

Address:
1001 COMMERCIAL DR
MAHOMET, IL
ZIP 61853
Phone: (217) 586-6600
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CHRISTIE CLINIC, LLC is a durable medical equipment medical supplies in Mahomet, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CHRISTIE CLINIC, LLC NPI is 1447840103. The provider is registered as an organization entity type.

The provider's business location address is:

1001 COMMERCIAL DR
MAHOMET, IL
ZIP 61853-625
Phone: (217) 586-6600

The provider's authorized official is William Pierce .
The authorized official title is Cmo and has the following contact phone number (217) 366-8107.

The CLIA number assigned to this NPI record is 14D2142716 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/26/2021 and was last updated on 1/26/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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